True Horizon Llc | |
313 W Main St Ionia MI 48846-1639 | |
(517) 676-9788 | |
Not Available |
Full Name | True Horizon Llc |
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Speciality | Social Worker |
Location | 313 W Main St, Ionia, Michigan |
Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Horizon Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | True Horizon Llc 313 W Main St Ionia MI 48846-1639 Ph: (517) 676-9788 |
NPI Number | 1578923892 |
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Provider Enumeration Date | 02/29/2016 |
Last Update Date | 05/13/2016 |
Medicare PECOS PAC ID | 7618266347 |
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Medicare Enrollment ID | O20160518002120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578923892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801095650 (Michigan) | Primary |
Provider Name | Antione J Trent |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346673274 PECOS PAC ID: 9335442805 Enrollment ID: I20160118000910 |
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